NPIMap

Organization Active NPI

Orthopedic and Surgical Specialty Company, LLC

  • Special Hospital
  • Phoenix, AZ
National Provider Identifier
1124163530
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
SH3571 Issued in AZ
Legal business name
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC
Practice address
750 N 40TH St
Phoenix, AZ 85008-6486
Phone
(602) 797-7700
Fax
(602) 797-7979
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Boon
Title
Officer/Authorized Official
Phone
(480) 567-0269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Special Hospital 284300000X SH3571 AZ Primary

Addresses

Primary practice location

750 N 40TH St
Phoenix, AZ 85008-6486

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 763-3859

Other identifiers 1

IdentifierTypeStateIssuer
882747MedicaidAZ

Other names 1

  • Arizona Specialty Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address AOSSH_INBOX@DIRECT.USPI.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001170 AZ Part A Provider - Hospital 8426036419 Practice locations: Phoenix, AZ

Hospital certification: CCN 030112

Legal name
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY LLC
Doing business as
ARIZONA SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 26, 2004
Last certification
Apr 30, 2020
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Apr 25, 2001 in AZ
Enrollment address
750 N 40TH St
Phoenix, AZ 85008-6486
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Arizona Orthopedic and Surgical Specialty HospitalCCN 030112
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2022938Orthopedic and Surgical Specialty Company LLC750 N 40TH St, Phoenix, AZ 85008AccreditationJun 26, 2028

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2905 W Warner Rd
Ste 1
Chandler, AZ 85224
Phone (480) 603-9000

Interoperability endpoints

  • Direct secure messaging: aossh_inbox@direct.uspi.com

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
United Surgical Partners International Inc Organization, Addison, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 26, 2001 35%
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015 35%
Barbara McWilliams Individual Corporate Officer May 1, 2024
W-2 Managing EmployeeAd; May 1, 2024
Eric Boon Individual Corporate OfficerCorporate Officer Jun 1, 2020
W-2 Managing EmployeeMarket President Jun 1, 2020
Usp Domestic Holdings Inc Organization, Addison, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 26, 2001 35%
Usp Phoenix Inc Organization, Addison, TX For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2003 35%
Dignity Health Organization, San Francisco, CA Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2003 35%
United Surgical Partners Holdings Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 26, 2001 35%
Uspi Holding Company Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015 35%
Uspi Group Holdings Inc Organization, Addison, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 19, 2007 35%
Uspi Holdings Inc Organization, Addison, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 19, 2007 35%
HCN Surgery Center Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015 15%
Dignity Usp Phoenix Surgery Centers II LLC Organization, Addison, TX LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 70%
Operational/Managerial Control Feb 1, 2022 100%

Facilities with the same owner 142

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 142

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 146

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1124163530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "972-763-3859",
            "fax_number": "480-603-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086486",
            "telephone_number": "602-797-7700",
            "fax_number": "602-797-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "SH3571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882747",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AOSSH_INBOX@DIRECT.USPI.COM",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 N 40th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850086486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Arizona Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.